DEBRA ANN DANIELS P.A. NPI 1417928672

NPI Information

NPI: 1417928672
Provider Name: DEBRA ANN DANIELS, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2700 NW STEWART PKWY
ROSEBURG, OR
ZIP 97470
Phone: (541) 677-4313
Get Directions

Debra Ann Daniels, P.A. is a medical physician assistant in Roseburg, OR. Debra Ann Daniels, P.A. NPI is 1417928672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2700 NW STEWART PKWY
ROSEBURG, OR
ZIP 97470-281
Phone: (541) 677-4313
Fax: (541) 677-4533

The enumeration date for this NPI number is 1/27/2006 and was last updated on 6/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA00510	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	165878	MEDICAID	OREGON
2	970012159	OTHER	OREGON	RAILROAD MEDICARE
3	S38081	MEDICARE UPIN	OKLAHOMA
4	106223	MEDICARE ID-TYPE UNSPECIFIED	OREGON
5	P00684882	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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